Provider Demographics
NPI:1629378112
Name:DINCER, BULENT (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BULENT
Middle Name:
Last Name:DINCER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:BULENT
Other - Middle Name:
Other - Last Name:DINCER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:1074 BLOOMINGDALE AVE
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-6105
Mailing Address - Country:US
Mailing Address - Phone:813-298-0320
Mailing Address - Fax:813-600-5503
Practice Address - Street 1:1074 BLOOMINGDALE AVE
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-6105
Practice Address - Country:US
Practice Address - Phone:813-298-0320
Practice Address - Fax:813-600-5503
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-30
Last Update Date:2013-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8400103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical